<%--
  Created by IntelliJ IDEA.
  User: 12701
  Date: 2024/9/5
  Time: 15:26
  To change this template use File | Settings | File Templates.
--%>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<html>
<head>
    <meta charset="utf-8">
    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta name="viewport" content="width=device-width, initial-scale=1">
    <meta name="description" content="Medicamp Responsive Bootstrap Template">
    <meta name="keywords" content="Pixel">
    <meta name="author" content="rkwebdesigns">
    <title>详细信息</title>
    <link href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh1/bootstrap.min.css" rel="stylesheet">
    <link href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh1/bootstrap-dropdownhover.min.css" rel="stylesheet">
    <!-- Fonts Awesome -->
    <link href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh1/font-awesome.min.css" rel="stylesheet">
    <!-- Google Fonts -->
    <link href='https://fonts.googleapis.com/css?family=Open+Sans:400,300,300italic,800italic,800,600italic,600,400italic,700,700italic' rel='stylesheet' type='text/css'>
    <!-- animate Effect -->
    <link href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh1/animate.css" rel="stylesheet">
    <!-- Main CSS -->
    <link href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh1/style.css" rel="stylesheet">
    <!-- Responsive CSS -->
    <link href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh1/responsive.css" rel="stylesheet">


    <meta http-equiv="X-UA-Compatible" content="IE=edge">
    <meta http-equiv="X-UA-Compatible" content="ie=edge">
    <!--====== Bootstrap css ======-->
    <link rel="stylesheet" href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh2/bootstrap.min.css">
    <!--====== Favicon Icon ======-->
    <link rel="stylesheet" href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh2/all.min.css">
    <!--====== Bootstrap Icon ======-->
    <link rel="stylesheet" href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh2/font-css.css">
    <!--====== Odometer css ======-->
    <link rel="stylesheet" href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh2/odometer.css">
    <!--====== Swiper css ======-->
    <link rel="stylesheet" href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh2/swiper-bundle.min.css">
    <!--====== Main Css ======-->
    <link rel="stylesheet" href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh2/style.min.css">
    <!--====== Responsive Css ======-->
    <link rel="stylesheet" href="${pageContext.request.contextPath}/static/css/css_wjh/css_wjh2/responsive.css">
</head>
<body>
<div class="medikia__appoinment-form section-gap">
    <div class="container">
        <div class="row">
            <div class="appoinment-box">
                <form action="${pageContext.request.contextPath}/register/toThisRecord.do" method="post" class="medikia__applyform"  enctype="multipart/form-data">
                    <div class="medikia__appointment">
                        <div class="row">
                            <div class="col-lg-12">
                                病历单号:
                                <input type="text" id="records_number" name="records_number" class="form-control medikia__bg-white paitent-name-field" value="${record.records_number}">
                            </div>
                            <div class="col-lg-12">
                                姓名:
                                <input type="text" id="user_name" name="user_name" class="form-control medikia__bg-white paitent-name-field" value="${record.user_name}">
                            </div>
                            <div class="col-lg-6">
                                性别:
                                <input type="text" id="user_sex" name="user_sex" class="form-control medikia__bg-white phone-number-field" aria-invalid="false" value="${record.user_sex}">
                            </div>
                            <div class="col-lg-6">
                                年龄:
                                <input type="text" id="user_age" name="user_age" class="form-control medikia__bg-white e-mail-field" aria-invalid="false" value="${record.user_age}">
                            </div>
                            <div class="col-lg-12">
                                预约时间:
                                <input type="text" id="date" name="date" class="form-control medikia__bg-white time-field" aria-invalid="false" value="${formattedDate}">
                            </div>
                            <div class="col-lg-12">
                                医生姓名:
                                <input type="text" id="doctor_name" name="doctor_name" class="form-control medikia__bg-white time-field" aria-invalid="false" value="${record.doctor_name}">
                            </div>

                            <div class="col-lg-12">
                                医嘱:
                                <textarea cols="40" id="orders" rows="10" aria-invalid="false" class="form-control medikia__bg-white" >${record.orders}</textarea>
                            </div>

                            <div class="col-lg-12">
                                <a href="${pageContext.request.contextPath}/register/findAll.do" class="medikia__button btn-primary btn-fill--up">
                                    <span>返回</span>
                                </a>
                            </div>
                        </div>
                    </div>
                </form>
            </div>
        </div>
    </div>
</div><!-- Appoinment-form End-->

<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/jquery.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/bootstrap.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/jquery.plugin.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/jquery.isotope.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/jquery.magnific-popup.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/bootstrap-dropdownhover.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/wow.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/waypoints.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/jquery.counterup.min.js"></script>
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh1/main.js"></script>
<!-- script start  -->
<!--====== Jquery ======-->
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh2/jquery.min.js"></script>
<!--====== Bootstrap ======-->
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh2/bootstrap.bundle.min.js"></script>
<!--====== Viewport slider ======-->
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh2/viewport.jquery.js"></script>
<!--====== Slick slider ======-->
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh2/slick.min.js"></script>
<!--====== Swiper slider ======-->
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh2/swiper-bundle.min.js"></script>
<!--====== Odometer JS ======-->
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh2/odometer.min.js"></script>
<!--====== GDPR JS ======-->
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh2/medikia-gdpr.min.js"></script>
<!--====== Main JS ======-->
<script src="${pageContext.request.contextPath}/static/js/js_wjh/js_wjh2/script.js"></script>
<!-- script End  -->
</body>
</html>
